| NPI | 1124187471 |
|---|---|
| Doing Business As | OTTAWA HILLS HIGH SCHOOL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TASHA BLACKMON CEO 616-965-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 104100000X Social Worker |
| 122300000X Dentist | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-08-25 |