| NPI | 1235240227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCIA J KELLEY Executive Director 616-225-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081229) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801066841) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801087574) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801086970) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6802079741) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-01 |