| NPI | 1174601512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY CARDOSA Human Resources Manager 616-456-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: MI 4301034105) | |
| 363A00000X Physician Assistant (Licence: MI 5601003749) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MI 4301069203) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-01-04 |