NPI | 1982908323 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WILLIAM VAN NOORD Licensed Psychologist/President 616-956-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MI 6301001896) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2010-12-28 |