| NPI | 1205174265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENE CAROLINE GEARY President 616-396-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 6801060095) |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2013-01-27 |