| NPI | 1841851169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA ANNE WIERSEMA Clinical Therapist/ LLC Owner 616-617-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-07-15 |