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 |