| NPI | 1568902161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA NELSON RICE Counselor 517-712-8495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401015841) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2024-10-16 |