| NPI | 1427062272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA MARIE MATTHEWS Owner 616-696-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MI 233808) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-11-06 |