| NPI | 1447712245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY CHERYL ERINS Credentialing Specialist 269-244-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2021-01-27 |