| NPI | 1699981498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS CHURCHWELL Chief Executive Officer 231-728-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MI 610022) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MI 610050) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2010-02-22 |