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 |