| NPI | 1942559638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE ELLEN PABST Owner/Therapist 616-754-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801085264) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MI 6801064423) |
| 251S00000X Community/Behavioral Health (Licence: MI 6401005661) | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-05-08 |