| NPI | 1528192853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M LEWIS Business Manager 517-263-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI 460068) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |