| NPI | 1669993283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LYNN VANDER KOOI Owner/Therapist 616-822-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 6401007890) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |