| NPI | 1952559296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE KATHRYN SHAFFER Executive Director 269-343-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |