| NPI | 1184974263 |
|---|---|
| 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 | 104100000X Social Worker |
| 207Q00000X Family Medicine | |
| 122300000X Dentist | |
| 133V00000X Dietitian, Registered | |
| 152W00000X Optometrist | |
| 156FX1800X Technician/Technologist Optician | |
| 163W00000X Registered Nurse | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 101YM0800X Counselor Mental Health | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2024-05-17 |