| NPI | 1558635094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A SCHAEFER-SPACE Owner 616-262-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: MI 6301007868) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2024-05-03 |