| NPI | 1528515327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DONALD GOWING Owner Counselor 231-220-9288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: MI 6401015547) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2024-02-12 |