| NPI | 1881180651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL CORCORAN Owner 616-490-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-06-01 |