| NPI | 1932875051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA LYNNE DOORN CRIFFIELD Social Worker/Therapist 616-706-9223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |