| NPI | 1003282724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L DUDGEON Therapist/Owner 616-309-0107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092199) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2016-12-04 |