| NPI | 1245395797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LOGAN CEO/Owner 517-977-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 730056) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251S00000X (Licence: MI 822577) | |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QP2300X Clinic/Center, Primary Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-12-23 |