| NPI | 1871780080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA STEFANOVSKY Health Director 616-393-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 690350488) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2012-01-09 |