| NPI | 1497058226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIEN L. SMITH LAMARCK SMITH Member 269-926-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 110105) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |