| NPI | 1922498393 |
|---|---|
| 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 |