| NPI | 1922767235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADINE STARK Clinical Social Worker 231-499-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |