| NPI | 1952834236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULES SHELLBY Licensed Professional Counselor 231-944-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 640.101.4158) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |