| NPI | 1336932649 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER LYNN KANOUSE Owner/Clinical Therapist 517-803-0973 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2025-05-28 | 
| Last Update Date | 2025-05-28 |