| NPI | 1306717616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA ECKLEY Clinical Social Worker 269-270-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |