| NPI | 1013095454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J DIRKSE President Child Psychiatrist 616-399-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 032227) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |