| NPI | 1063136901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN KIEL Clinical Therapist, Co Owner 269-359-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2022-10-03 |