| NPI | 1932699337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HOCKENBERRY GARDNER Owner Operator 616-446-0813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6301014494) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2021-07-29 |