| NPI | 1114218807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA JEAN HUTCHINSON Clinical Therapist 269-429-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801089570) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-29 |