| NPI | 1720735160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GALAT Limited Licensed Phycologist/Own 616-298-9867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-03-06 |