| NPI | 1972041721 |
|---|---|
| Doing Business As | CRCC |
| Entity Type | Organization |
| Authorized Contact | KRISTINA M WESSELS Psychotherapist 616-678-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6401012530) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |