| NPI | 1780110551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MONETTE Lpc/ Counselor 231-287-2049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401013739) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |