| NPI | 1447644471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LYNN BRUURSEMA Owner/Clinical Social Worker 231-799-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |