| NPI | 1457915647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH BOCK Co Owner/Clinical Social Worker 269-352-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 225X00000X Occupational Therapist | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |