| NPI | 1154518652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE DANENE CHAMBERLAIN-CLEMENTS Clinical Social Worker 989-633-9021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801017305) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2024-01-24 |