| NPI | 1184161960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA NULL Director 231-726-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 2083PO901x) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |