| NPI | 1649022682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS BAKER Compliance & Development Director 989-631-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |