| NPI | 1659422483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS LEROY FOSTER Addictionist 989-922-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MI 6301044754) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |