| NPI | 1417665068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYN RAINEY Owner 989-259-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |