| NPI | 1295280253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALENA PHILLIPS-BAKER Owner 231-335-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401012362) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2021-09-30 |