| NPI | 1225150139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN GUNNINGS Director Of Operations 517-332-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 330070) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |