| NPI | 1760431282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM K SWISHER Billing 616-942-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |