| NPI | 1790522332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN REISTERER Owner 616-460-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2026-04-23 |