| NPI | 1750088522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE BUSSEMA Owner/CEO 269-760-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2024-11-22 |