| NPI | 1760626311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG MILES TOUTANT Chief Executive Officer 906-228-9699 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI 520072) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2025-02-18 |