| NPI | 1720221179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM MILLS Licensed Psychologist 616-395-3083 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301011910) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |