| NPI | 1093535049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE THERESE BEAUCHAMP Owner 616-460-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |