| NPI | 1669995635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHMICA TOROK Executive Director 517-242-5467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251V00000X Voluntary or Charitable | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-07-21 |