| NPI | 1700629490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI MEGAN LAPORTE-MONTERO Chief Executive Officer 231-547-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-25 |