| NPI | 1588412134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN ZEILSTRA Therapist 616-970-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |