| NPI | 1346600947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE E. WEBB Office Manager 269-303-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401005843) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-03-08 |