| NPI | 1891075651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET MAUREEN CALLAGHAN Manger 231-935-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801087127) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |