| NPI | 1407123482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA WALKER Outpatient Therapist 989-213-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801093039) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |