| NPI | 1447636899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANNE HOGETERP Therapist 616-644-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090078) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2015-08-08 |