| NPI | 1700100989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RAE HALL Director 269-345-5776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI .6401005003) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2021-06-09 |