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 (Licence: MI AS390281218) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS390252741) |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS390080967) | |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS390087990) | |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AS390078924) | |
320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MI AM390084283) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |