| NPI | 1689628190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE M. LEWIS Executive Director 517-782-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MI 788341) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2014-10-07 |