| NPI | 1437651916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN HANSEN Owner 616-202-1910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012367) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |