| NPI | 1124462437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOHN VRIELINK Sole Proprietor 616-608-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301079422) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |