| NPI | 1710047303 |
|---|---|
| Doing Business As | CRESTON HIGH SCHOOL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRIS SHEA CEO 616-776-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301056818) |
| Additional Taxonomies | 104100000X Social Worker |
| 122300000X Dentist | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2013-02-14 |