| NPI | 1912471863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANNE HINTON VANDEWEGE Clinical Social Worker 616-574-4098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |