| NPI | 1659147551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA HULTINK Owner 616-796-4335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-11-26 |