| NPI | 1316076631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY JOHNSON Executive Director 231-733-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 104040) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2014-04-24 |