| NPI | 1669524963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A CURTICE Office Manager 269-343-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 4301035735) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-05-01 |