| NPI | 1073769337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CHERYL TOWNSEND Outpatient Therapist 616-249-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801079470) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |