| NPI | 1245694793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ROBERTSON Owner 616-523-6537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086213) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-03-26 |