| NPI | 1730454885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIEN LAMARCK SMITH Executive Director 231-739-4359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 610030) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |