| NPI | 1487817680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDERSON Program Director 989-356-7242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MI 3) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2022-07-21 |