| NPI | 1215928155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY MCDANIEL Practice Administrator 269-686-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-08-14 |