| NPI | 1083314512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN HODGDON Chief Executive Officer 269-427-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-02-08 |