| NPI | 1457774242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KUEINAN CHUNG Executive Director 616-301-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-30 |