| NPI | 1548936214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA JESUS RIVERA Licensed Professional Counselor 269-961-1098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-08-21 |
| Last Update Date | 2021-08-21 |