| NPI | 1275653115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DIRK VANDER VELDE President 616-454-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 5101009000) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-08-22 |