NPI | 1275253874 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK NEWSOME Credentialer/Biller 517-442-3341 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2022-09-01 |
Last Update Date | 2022-09-07 |