| NPI | 1801506936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN DALLAIRE Owner 616-439-0392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |