| NPI | 1144160409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS LEE MIZE Otd, Lcdc 517-525-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-03-30 |
| Last Update Date | 2026-03-30 |