NPI | 1285256644 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE PIOCH Chief Operating Officer 269-343-1651 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2020-05-08 |
Last Update Date | 2020-05-08 |