| NPI | 1174532147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE FENNEMA VP Of General Services 616-281-6372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 208000000X Pediatrics |
| 208D00000X General Practice | |
| 101Y00000X Counselor | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-11-04 |