| NPI | 1457861221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL NATHAN JONES Executive Director 269-788-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2024-03-27 |