| NPI | 1821339250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L PARKER Owner 616-285-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301007243) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |