| NPI | 1548000268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM DAVID NICHOLAS Owner/Provider 989-266-3188 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |