NPI | 1295444636 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSIE BOSS Owner 616-644-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-11-15 |
Last Update Date | 2022-11-15 |