| NPI | 1548750524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELYN CABLE Business Owner 616-460-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6301016606) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-09-08 |