| 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 |