| NPI | 1144362542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEE RENZEMA Program Manager 269-372-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI CB390267474) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |