| NPI | 1255226916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATREASA DENISE BLACKMON Owner/Clinical Therapist 269-767-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |