| NPI | 1184259004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY PAREDES Lic. Marriage And Family Therapist 616-202-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |