| NPI | 1396080669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS ALBER LECLEAR Managing Partner 269-370-2899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401009362) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |