NPI | 1467119339 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER DIETZEL Owner/CEO 989-928-6616 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-11-26 |
Last Update Date | 2022-11-17 |