| NPI | 1376866160 |
|---|---|
| Doing Business As | BEHAVIORAL HEALTH SERVICES, REHAB, HEALTHCARE PROVIDER, COUNSELING |
| Entity Type | Organization |
| Authorized Contact | PAMELA MARIE DUVALLRICHARDSON CEO 231-343-2753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MI 610081) |
| 251B00000X Case Management (Licence: MI 610081) | |
| 172V00000X Community Health Worker | |
| 1041C0700X Social Worker, Clinical (Licence: MI 410357) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 410357) | |
| 347C00000X Private Vehicle (Licence: MI 610081) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: MI 410357) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 410357) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 410357) | |
| 310400000X Assisted Living Facility (Licence: MI 410357) | |
| 305S00000X Point of Service (Licence: MI 410357) | |
| 251S00000X Community/Behavioral Health (Licence: MI 410357) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: MI SA0410357) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2025-12-04 |