| NPI | 1942935473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE FRANCES BOALS FRYE SVP Of Operations 616-648-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2024-05-22 |