| NPI | 1447905039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW E EASTHAM Social Worker 616-970-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-02-21 |