NPI | 1609859537 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY BECKER COO 616-301-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
320700000X Residential Treatment Facility, Physical Disabilities | |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2005-11-23 |
Last Update Date | 2024-05-31 |