| NPI | 1487084133 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MARY LEE HARDEN Director/Social Worker 616-773-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MI 6801087491) |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2013-11-16 |