| NPI | 1730956947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN HODGDON President 269-427-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2024-02-08 |