| NPI | 1366157745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMELITA YOUNG Clinician/Therapist 616-636-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |