| NPI | 1275813453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE TYNDALL Director 616-284-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 4101006467) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |