| NPI | 1366172041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTY ROBBENNOLT Owner/Member/Therapist 517-221-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |