| NPI | 1699378216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANN PLOOF Chief Administrative Officer 616-356-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |