| NPI | 1245767888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL STANLEY GILL Owner 810-771-8969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6401013238) |
| Enumeration Date | 2017-05-14 |
| Last Update Date | 2020-09-17 |