| NPI | 1588953137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYBANK M KAPUFI Therapist 616-818-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401011547) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |