| NPI | 1306554282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY IBARRA Owner 616-258-6270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2023-07-20 |