| NPI | 1962020867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDI WITHEY Owner 616-894-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-04-28 |