| NPI | 1780339366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL PECK Owner 231-442-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2023-09-28 |