| NPI | 1447577101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD CHRISTOPHER DAY Director 269-998-9696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010792) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401010792) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |