NPI | 1154947992 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA BIRGITTA LIEDBERG MIRON Clinical Mental Health Counselor 269-599-7907 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-06-17 |
Last Update Date | 2020-06-17 |