| NPI | 1023157161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAULO RODRIGUEZ Partner 616-392-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-11-11 |