| NPI | 1306896956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE THOMPSON COO 989-672-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-12-27 |