| NPI | 1285086900 |
|---|---|
| Other Name | BRAVE GR |
| Entity Type | Organization |
| Authorized Contact | ALLISON KYLE WALDRON Manager 616-419-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015446) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-10-05 |