| NPI | 1316383706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK STUCKY Therapist 810-262-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6401009300) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2013-05-13 |