| NPI | 1770189243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE FRANCES BOALS FRYE SVP Of Operations 616-648-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2024-05-22 |