| NPI | 1922372796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE A JOHNSON Therapist/Managing Member 616-450-4925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801082216) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801082216) |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |