| NPI | 1851591309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ANN BARKS Prevention Services Coordinator 989-224-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 4228851) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |