| NPI | 1427115336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SUSAN WALKONS Executive Director 616-451-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 410008) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |