| NPI | 1841053709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MWIZA HANNA Executive Director 616-334-2563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-16 |