| NPI | 1851924450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE HARTZ President 989-619-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |