| NPI | 1124390505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN JOHNSON VP Finance 616-225-6310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2013-12-26 |