| NPI | 1013944479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY CHERYL ERINS Credentialing Specialist 269-244-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 0001727) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2021-01-27 |