| NPI | 1164625109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE J BEELEN Executive Director 616-456-8593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 4301057840) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-08-13 |