| NPI | 1184177180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL AGEE Co Owner Therapist 231-590-9743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801079803) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801087281) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-08-12 |