| NPI | 1689232027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE GRANDY Owner 616-438-3861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-06-11 |