| NPI | 1295175065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STOUTMEYER Biller 616-224-7429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 205-121) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2021-07-12 |