NPI | 1003522061 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY NAUMANN Office Manager 269-795-6681 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2023-01-24 |
Last Update Date | 2023-04-03 |