| NPI | 1336185032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN L FOGEL Executive Director 616-954-1992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-06-07 |