| NPI | 1861122152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY M HUBBARD Billing Admin 906-262-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2026-04-20 |