| NPI | 1447946074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER DAWN BRADLEY Licensed Professional Counselor 269-360-0747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-02-26 |