| NPI | 1265210439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLI BALDUS CEO 231-335-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-03-20 |