| NPI | 1871756841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P MCINNIS Owner 616-785-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI L947184) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |