| 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 |