| NPI | 1811907587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN KAVANAUGH-WALLACE President 810-664-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |