| NPI | 1427718238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MCMILLAN REUTER Clinical Social Worker 989-859-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |