| NPI | 1558571257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FRANK FATZINGER Division Director, Substance Abuse 269-621-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 800028) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |