| NPI | 1205544087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY IBARRA Owner 616-258-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 101YS0200X Counselor, School | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-12-16 |