| NPI | 1477815645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R SOVA It Director 269-553-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 390177) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |