| NPI | 1396436937 |
|---|---|
| Other Name | BEHAVIORAL HEALTH MILD/MODERATE |
| Entity Type | Organization |
| Authorized Contact | JEAN TROOP Reimbursement Officer 810-247-3469 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2025-06-05 |