| NPI | 1386709244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CLYDE GUERNSEY Executive Director 231-527-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801059108) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010096) |
| 106H00000X Marriage & Family Therapist (Licence: MI 4101006200) | |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2025-09-11 |