| NPI | 1205320561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIERRA YOUNGBLOOD-FIELD Professional Counselor 616-420-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261Q00000X | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-12-31 |