| NPI | 1467925222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN GAUTHIER Partner & Clinical Social Worker 616-930-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2021-01-12 |