| NPI | 1063170694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SWICK Chief Development Officer 269-986-0420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |