| NPI | 1154290799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MARIE BATES Licensed Professional Counselor 269-348-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |