| NPI | 1114040995 |
|---|---|
| Doing Business As | JIM GILMOR JR COMMUNITY HEALING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PIOCH Operations Manager 269-343-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: MI 390160) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |