| NPI | 1720446438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WEBB Office Manager 269-381-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4301071370) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |