| NPI | 1104773845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA KING Owner 231-903-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-06-16 |