| NPI | 1902665250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WEST Licensed Practicing Counselor 616-591-6431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |