| NPI | 1568714616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA J. SEMASHKO Executive Director 906-228-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801085666) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2013-02-12 |