| NPI | 1376371021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL E BORDUIN Sole Member/Authorized Official 231-670-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 221700000X Art Therapist | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-03-19 |