| NPI | 1538923842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA LYNN MEYER Sole Member 269-876-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |