| NPI | 1164570248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL E. MILAM President 989-752-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801015689) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-07-25 |