| NPI | 1386096733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE BRILL CFO 616-396-2301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI SA0030024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |