| NPI | 1558090969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE CLARK Licensed Professional Counselor 989-430-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-28 |