| NPI | 1154815173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDI ELIZABETH QUIGLEY Corporate Compliance Director 616-644-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2024-08-28 |