| NPI | 1891649950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL MARIE COLEMAN Clinical Social Worker 269-350-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |