| NPI | 1548615818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN EHART Clinical Supervisior 517-784-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |