| NPI | 1083387393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MARIE CHITTENDEN Owner 616-446-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-01 |
| Last Update Date | 2021-09-20 |