| NPI | 1689211153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. KEITH OSTIEN Resident Agent/ Owner 517-337-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |