| NPI | 1770753899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL P. MADRID Chief Associate/President 616-534-5445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: MI 6301007493) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-07-10 |