NPI | 1346699154 |
---|---|
Entity Type | Organization |
Authorized Contact | ELBIN ORELLANA Provider 616-822-7036 |
Organization Subpart ? | No |
Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: NM MD2014-0115) |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry |
Enumeration Date | 2016-06-13 |
Last Update Date | 2019-01-15 |