NPI | 1790835296 |
---|---|
Entity Type | Organization |
Authorized Contact | KEN RATZLAFF President, CEO 269-427-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
310400000X Assisted Living Facility | |
251E00000X Home Health | |
207R00000X Internal Medicine | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2015-03-31 |