NPI | 1487233516 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA PAYNE Owner 810-923-2483 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2021-04-06 |
Last Update Date | 2024-02-15 |