| NPI | 1841436128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L.R. HESS Chief Executive Officer 269-567-5574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2009-05-07 |