| NPI | 1316286131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA VAN HEEST Education And Program COO Rdinator 616-685-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2014-06-12 |