| NPI | 1457780314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA ANN PAYNE Independent Living Instructor 269-492-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |