| NPI | 1720962384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SCHNOTALA Authorized Official 616-466-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |