| NPI | 1689814469 |
|---|---|
| Former Legal Business Name | CENTENNIAL PARK COUNSELING, PLLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA WINTERS Executive Assistant 616-949-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801063539) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2022-06-09 |