| NPI | 1972682102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W HINSHAW President 616-957-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301030538) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MI 4301030538) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |