NPI | 1558246280 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB MOON Owner 616-209-8854 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2025-08-11 |
Last Update Date | 2025-09-30 |