| NPI | 1104204429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP W WEAVER President 616-301-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |