NPI | 1922498393 |
---|---|
Doing Business As | KPEP |
Entity Type | Organization |
Authorized Contact | WILLIAM DEBOER President/CEO 269-903-0510 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 390145) |
Enumeration Date | 2015-01-23 |
Last Update Date | 2015-01-23 |