| NPI | 1881308666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SUE LICHON-TUFER Clinical Social Worker/Therapist 616-813-3394 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |