| NPI | 1497366967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA LYNN LIST-LEINBERGER President/Therapist 616-710-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |