| NPI | 1174176366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THATCHER Owner / Counselor 616-202-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2022-02-25 |