| NPI | 1477757573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL M. PHILLIPS CEO 269-377-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225700000X Massage Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |