| NPI | 1336865252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNA MCPHERSON-WHITTEN Practice Manager 616-358-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-11-10 |