| NPI | 1144253923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD MCCULLOUGH Executive Director 517-264-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MI 460036) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2017-10-17 |