| NPI | 1114587375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ROSE Owner 616-888-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-02-20 |