| NPI | 1194112771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MEG SHEWMAKER Administrative Director 810-238-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI SA0250303) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2021-10-20 |