| NPI | 1902218654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUQAIYAH ROGERS Owner/Sole Proprieter 616-965-5671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090932) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-06-21 |