| NPI | 1336692144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M LANTZER Therapist 231-632-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801077025) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2022-10-13 |