NPI | 1578833695 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R BEYER Provider 616-928-0034 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 5101007889) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2012-01-05 |