| NPI | 1316557523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA GRACE KNUTSON Mental Health Counselor 989-906-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |