| NPI | 1275130817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA M TRIPP Owner 231-881-2149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2021-01-08 |