| NPI | 1750457958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED E. WIGEN President CEO 989-777-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 823011) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 823011) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 823011) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-08-27 |