| 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 |