| NPI | 1457942583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASTERMIND I MASTERPEACE Therapist 231-445-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-04-25 |