| NPI | 1487776332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE RICHARDSON Owner 616-235-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704110245) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2014-11-04 |