| NPI | 1891849246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY J BRUNS President 269-660-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |