| NPI | 1518285022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE M KRYWANSKI SVP, Finance 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2013-09-10 |