| NPI | 1982958443 |
|---|---|
| Other Name | LAPEER CMH - CHILD WAIVER |
| Entity Type | Organization |
| Authorized Contact | KRISTIN FANTIN Lead Support Staff 810-667-0500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |