| NPI | 1720316953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA CHRISTY Billing Specialist 616-301-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 4704150174) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |