| NPI | 1215764360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID VAN HAITSMA Therapist/Owner 616-915-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |