| NPI | 1912512831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ROOKS Owner 616-403-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |