| NPI | 1992404792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN HODGDON Chief Operating Officer 269-427-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-06 |