| NPI | 1265203814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA NICOLE FOWLER Clinical Social Worker, Owner, CEO 810-956-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-05-17 |