NPI | 1861689416 |
---|---|
Entity Type | Organization |
Authorized Contact | GALE ANN BRISTOL Owner 616-459-5712 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801059875) |
Enumeration Date | 2007-09-27 |
Last Update Date | 2007-09-27 |