| NPI | 1215395017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON VAN MANEN Director Of Counseling 616-784-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401014678) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |