NPI | 1508294901 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANNON L GROH Owner/Counselor 269-921-3643 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6410103838) |
Enumeration Date | 2013-10-22 |
Last Update Date | 2013-10-22 |