| NPI | 1710105572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEON DORA Director Of Medical Education 231-672-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281P00000X Chronic Disease Hospital (Licence: MI 5101017069) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |