| NPI | 1619159290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHIE MURRAY Administrative Director Smg 269-659-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |