| NPI | 1851763205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY RENAE MCNEELY Owner 616-805-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088465) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |