| NPI | 1396553459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA LYNN LUCK-DAMER Owner/Mental Health Professional 989-217-8219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |