| NPI | 1578946059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY HARPER DYER Program Impact Manager 989-631-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI SA0560047) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2024-03-29 |