| NPI | 1396128518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA ANNE YURGAITES Social Worker 989-225-0725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 6801089933) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |