NPI | 1295618635 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTYNE LEE ORTQUIST Clinical Director 616-638-7408 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-07-30 |
Last Update Date | 2025-07-30 |