| NPI | 1952761777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA TOWNSEND Owner / Authorized Official 616-249-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801079470) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |