NPI | 1609352525 |
---|---|
Other Name | MISS |
Entity Type | Organization |
Authorized Contact | NICOLE BROWN Lpc/COO 616-690-5396 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6301015845) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2023-09-06 |