| NPI | 1568958718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET A HOXWORTH President 269-205-2402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 103TC1900X Psychologist, Counseling (Licence: MI 6301012161) | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2022-03-16 |