| NPI | 1568737195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SNELLENBERGER Medical Biller 616-935-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301013611) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |