| NPI | 1255159653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANELLE REEVES Executive Director 517-528-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-07 |