| NPI | 1164194478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA WAGNER Board Member 517-242-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174200000X | |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-05-31 |