| NPI | 1255148714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GIUCHIN Sr Accountant 906-228-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2025-02-18 |