| NPI | 1497120489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE JANSEN Therapist 616-308-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013036) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |