| NPI | 1609693878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA P CANTU Business Manager 517-420-6976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 261QH0100X Clinic/Center, Health Services | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |