| NPI | 1932472891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BUTCHER Director 989-837-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI CO560201303) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |