| NPI | 1235668542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY L. OXENDALE Owner/Therapist 616-202-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801083239) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |