| NPI | 1538908272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JO HAYWARD Counselor 906-450-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-06-11 |