| NPI | 1841799087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MITCHELL Executive Director/Program Manager 616-633-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MI C-00112) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |