NPI | 1467925222 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN GAUTHIER Partner & Clinical Social Worker 616-930-4123 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2019-01-04 |
Last Update Date | 2024-06-12 |