| NPI | 1063156792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANN COMPTON Owner 231-420-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-06-03 |