| NPI | 1104540343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY BATHRICK Owner 616-439-0079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2022-09-30 |