| NPI | 1902024649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SHEA CEO 616-776-2120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2022-07-21 |