| NPI | 1174749840 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARK LAMAN Owner 616-499-2218 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC0700X Psychologist, Clinical | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-04-18 | 
| Last Update Date | 2023-02-14 |