| NPI | 1275976615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY T BECKER COO 616-301-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103K00000X Behavior Analyst | |
| 104100000X Social Worker | |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2022-04-15 |