NPI | 1598015208 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD ANDREW SEWELL President 616-690-1835 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 045978) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007163) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 045978) | |
Enumeration Date | 2012-09-11 |
Last Update Date | 2012-09-11 |