| NPI | 1407231996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN SWINEHART Owner/Manager 269-501-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251S00000X | |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2023-05-31 |