| NPI | 1447020995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE HALL Owner 616-275-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-09-21 |