| NPI | 1346789658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY NOLAN CHICOSKI Co Founder/ Therapist 269-873-7617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801090171) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 103G00000X Clinical Neuropsychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC1900X Psychologist Counseling | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |