| NPI | 1699822353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE IRIS SERLIN Clinical Social Worker 269-344-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-12-26 |