| NPI | 1801298716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SHEA CEO 616-776-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 122300000X Dentist | |
| 124Q00000X Dental Hygienist | |
| 152W00000X Optometrist | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |