| NPI | 1235443003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA COUTURE Counselor 989-619-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401011416) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2015-09-24 |