| NPI | 1174265474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE FLAKE SVP Finance 616-391-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |