| NPI | 1245486919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SWISHER Billing 616-235-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301080782) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301080782) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |