| NPI | 1295234490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA ELIZABETH BUGG Owner/Therapist 269-993-0942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098010) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801094765) |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2021-03-01 |