| NPI | 1235670696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE HELMER Executive Director 616-498-4608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI SO410408) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |