| NPI | 1437976602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CUSIC Owner 616-304-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-23 |