| NPI | 1649788498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI NEUMANN Social Worker 231-313-9165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MI 6801093452) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-11-15 |