| NPI | 1306293105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOSEPH LAPONSIE Owner 269-615-7637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095368) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-05-21 |
| Last Update Date | 2022-10-13 |