| NPI | 1528558574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE WILSON President / Therapist 616-600-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-10-30 |