| NPI | 1487271250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY PIERCE Member 616-855-6402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2021-03-31 |