# WISHING WELL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WISHING WELL, INC.
- **Other names:** Detox For Healthy Living
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831330935
- **Legal business name:** WISHING WELL, INC.
- **Authorized official:** MRS. MARILYN V. HEERINGA (HEALTH SERVICE PROVIDER)
- **Authorized official phone:** (616) 363-9113

## Contact information

- **Practice address:** 1721 RODNEY CR. N.E., GRAND RAPIDS, MI 49505
- **Practice address phone:** (616) 363-9113
- **Mailing address:** 1721 RODNEY CR. N.E., GRAND RAPIDS, MI 49505
- **Mailing address phone:** (616) 363-9113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175F00000X | Naturopath | — | NULL | Yes |
| 175F00000X | Naturopath | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2009
- **Last updated:** 03/19/2009