| NPI | 1578691432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HARTWIG President 616-456-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-05-02 |