| NPI | 1992366751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE KILMARTIN Therapist 616-821-2906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-06-24 |