| NPI | 1265917678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M SMITH Director 517-546-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |