| NPI | 1316616709 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AIMEE HECKMAN Certified Billing Professional 616-536-1606  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2021-09-09 | 
| Last Update Date | 2021-10-25 |