| NPI | 1043190069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDI ELIZABETH QUIGLEY Corporate Compliance Director 616-644-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |