| NPI | 1669221727 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIELLE ELIZABETH INCH Owner 989-751-0311 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-05-13 | 
| Last Update Date | 2025-04-07 |