| NPI | 1396612602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE ROUX Individual And Family Therapist 616-610-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |