| NPI | 1093126146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE BOSHOVEN Owner 616-309-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081555) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-04-01 |