| NPI | 1831397660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL M SOARD Director 616-451-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 410311) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |