| NPI | 1629052196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARB HATTEN Executive Director 231-922-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 280057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 280057) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |