| NPI | 1912390741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARAD WILLIAMS Medical Director 231-347-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |