| NPI | 1942510516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA NELSON President/CEO 810-392-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 631337) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2019-10-21 |