| NPI | 1972059830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE JOY MURPHY CLARK President 231-642-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401008840) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 0701004902) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2021-01-25 |