| NPI | 1992413868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHTON GEORGE CAMPBELL Owner 616-240-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |