| NPI | 1427120021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VANDER LUGT V.P. Finance 616-459-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |