| NPI | 1225171218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J. HATHAWAY Vice President Finance CFO 586-263-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-04-23 |