NPI | 1841883881 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA LABBE Credentialer 231-884-7324 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |