| NPI | 1700253895 |
|---|---|
| Other Name | MIRANDA WARD, SOLE PROPREITER |
| Entity Type | Organization |
| Authorized Contact | MIRANDA M WARD Certified Recreational Therapist 616-710-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 62081) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |