| NPI | 1295072320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LOUSIE KIMBALL Clinical Social Worker 616-785-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |