| NPI | 1669995221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA REGINA ROBINSON Co Director/Founder 269-205-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MI 6801091924) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6801091924) |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: MI 6801091924) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MI 6801091924) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |