| NPI | 1508500455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NGUYEN CEO 616-308-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2024-06-14 |