NPI | 1184974263 |
---|---|
Doing Business As | WYOMING COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | TASHA BLACKMON CEO 616-965-8200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TP2701X Psychologist, Group Psychotherapy | |
104100000X Social Worker | |
122300000X Dentist | |
133V00000X Dietitian, Registered | |
152W00000X Optometrist | |
156FX1800X Technician/Technologist, Optician | |
163W00000X Registered Nurse | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2012-09-14 |
Last Update Date | 2024-05-17 |