| NPI | 1992838619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE M. ROESER Finance Manager 517-337-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-06-26 |