| NPI | 1740658673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE BRAFORD Owner/Provider 616-264-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092797) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |