| 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 |