| NPI | 1861928459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA HURTUBISE Finance 231-724-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401015890) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2020-09-16 |