NPI | 1710222971 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY MARQUEE Psychologist/Administrator 616-443-8968 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301078556) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013480) |
Enumeration Date | 2012-11-29 |
Last Update Date | 2012-11-29 |