| NPI | 1629431713 |
|---|---|
| Doing Business As | DAKOSKE HALL |
| Doing Business As | THE PIER |
| Doing Business As | OUTPATIENT |
| Doing Business As | PHOENIX HALL |
| Entity Type | Organization |
| Authorized Contact | PAULA LIPINSKI Executive Director 231-346-5223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601005691) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SA0280084) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2025-01-14 |