| NPI | 1902382856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERILYNN JACOBSON Social Worker 989-397-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801091509) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |