| NPI | 1578154852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MILTON Owner 989-413-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-01-29 |