| NPI | 1396540043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLE LYN BROOKS Clinical Social Worker/Therapist 269-615-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |