| NPI | 1649777871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE LEXOW Clinical Director 616-485-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 37675) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-05-13 |