| NPI | 1992362347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY AHTI Mental Health Therapist 616-724-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |