| NPI | 1831599133 |
|---|---|
| Doing Business As | NORTHERN LAKES COMMUNITY MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NANCY STEVENSON COO 231-922-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2023-11-28 |