| NPI | 1013615269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN HODGDON Chief Executive Officer 269-427-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-03-02 |