NPI | 1871543421 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE THOMPSON COO 989-672-6160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
101YM0800X Counselor Mental Health | |
101YP2500X Counselor Professional | |
103T00000X Psychologist | |
103TC0700X Psychologist Clinical | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
2084A0401X Psychiatry & Neurology Addiction Medicine | |
2084P0800X Psychiatry & Neurology Psychiatry | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2015-08-19 |