| NPI | 1417823857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY RICHARDSON Co Owner 906-239-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |