NPI | 1184807299 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ANN BILLETT Owner 616-874-7490 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |