| NPI | 1487193298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP W WEAVER CEO 616-301-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |