| NPI | 1982353959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA O SCHUPP Social Worker 231-420-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-11-10 |