| NPI | 1114846649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBA LYNETTE CLARK Owner 231-343-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-07-10 |