| NPI | 1285299032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREN SHANTZ Owner 616-526-8504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-06-29 |