| NPI | 1861665473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN RAE BERTLING-SAFFORD Owner/Executive Director 616-977-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007799) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |