| NPI | 1114207610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIQUITHA CORNELIUS CEO 269-519-3966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6301014468) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2013-12-02 |