| NPI | 1841843182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE VANBUREN-HAY Co Manager 517-322-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-02-27 |