| 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 |