| NPI | 1790067064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE HAMILTON President And CEO 269-684-2837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704218867) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |