NPI | 1740973841 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY WILSON Psychologist 616-550-5802 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-06-02 |
Last Update Date | 2023-06-02 |