NPI | 1861195497 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN HODGDON Chief Executive Officer 269-427-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2023-03-23 |
Last Update Date | 2023-03-23 |