| NPI | 1245748201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE MCGRATH Chief Growth Officer 989-372-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2026-06-11 |