| NPI | 1962288217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA BERGSMA Owner 616-232-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |