| NPI | 1134872005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA BROOKS Director Of Operations 616-336-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |