| NPI | 1063586816 |
|---|---|
| Doing Business As | THE SALVATION ARMY BOOTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRIS SHEA CEO 616-776-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| 122300000X Dentist | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-10-19 |