| NPI | 1073650867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS C GLESS Director Patient Financial Services 616-643-9354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2022-07-21 |