| NPI | 1326560970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE MARIE BEAUCHAMP Director 616-222-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6801057813) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-06-23 |