| NPI | 1245747880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANNE NAVARRO Owner 269-830-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092641) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-03260) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |