| NPI | 1750616892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MERRELL Owner 616-844-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801016149) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2016-10-13 |