| NPI | 1023558533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY GEBHART Quality Director 616-965-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |