| NPI | 1508297151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET KROESE Ili 269-492-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 38-2481067.) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-20 |