| NPI | 1356654503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE NICOLE DAVIS Care Coordinator 616-632-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: MI 6802086484) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-08-03 |