| NPI | 1275912933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MEINKE Owner 269-459-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011616) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02520) |
| 106H00000X Marriage & Family Therapist (Licence: MI 401006447) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-01-24 |