| NPI | 1548588031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN WHITE Vice President Physician Practices 269-983-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2013-04-11 |