| NPI | 1770956864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE KOETJE Owner/Director 616-296-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014659) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |