| NPI | 1881970333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANNE K MILLER Physician Practice Director 269-789-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MI 6801089205) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2012-08-02 |