| NPI | 1063764082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MICHAEL DYER President 269-753-6027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS130095138) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |