| NPI | 1447908306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILARY G KIELY Co Owner 231-286-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |