| NPI | 1073394599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA WARD Owner 616-710-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2026-03-20 |