| NPI | 1861862641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MARION Mental Health Counselor 586-945-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: MI SA0500473) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |