| NPI | 1124328265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PATRICK DUIVEN President/Owner 616-956-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301002423) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |