| NPI | 1306922174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MITCHELL Medical Director 810-987-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MI 5101013191) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-05-19 |