| NPI | 1740563469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MACKE Ctrs 616-940-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MI 57605) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |