NPI | 1629597166 |
---|---|
Entity Type | Organization |
Authorized Contact | SEAN ALEXANDER ROBINSON Owner / Executive Director 616-988-3433 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009578) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401009578) |
Enumeration Date | 2017-09-15 |
Last Update Date | 2024-09-30 |