| NPI | 1558607473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL ELLEN FIELD Office Manager 906-228-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MI 6301003314) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401008819) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801091699) | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |