| NPI | 1912731993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS KATHERINE PRINS Master Of Social Work Therapist 616-426-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-08-30 |