NPI | 1598946170 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES M. PETERSEN Associate Director 231-893-1462 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI AS610248796) |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS610248796) | |
Enumeration Date | 2007-11-23 |
Last Update Date | 2007-11-23 |