| NPI | 1942739156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA ANN ROGERS Director 616-241-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011542) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-07-21 |