| NPI | 1134633951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTA LUTZ LING Therapist/Owner 269-552-9134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |