| NPI | 1518068071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY STEVENSON COO 231-922-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-01-04 |