| NPI | 1932974128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRATSBURG Clinical Social Worker 616-802-8732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |