| NPI | 1295185304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA BROWN Nursing Supervisor 269-553-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 4704170929) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |