| NPI | 1326292921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY LYNN HALL President/Owner 616-846-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MI 2301008495) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2012-10-23 |