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