| NPI | 1578979274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART WILLIAM BUXTON Supports Coordinator 616-965-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6802088180) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |