NPI | 1023730314 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELBY CRISTINE CARSON Owner And Therapist 989-331-0045 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2022-09-14 |
Last Update Date | 2023-03-13 |