| NPI | 1104579473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHLEEKAH PARTEE-YOUNG Mental Health Practitioner 616-202-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2023-12-28 |