| NPI | 1083336424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M STIENSTRA Licensed Clinical Social Worker 616-885-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |