| NPI | 1932570819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW RYAN LANTZ Licensed Professional Counselor 616-805-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012526) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |