NPI | 1588120737 |
---|---|
Entity Type | Organization |
Authorized Contact | CIJI C. GAMBLE Owner, Counselor 269-903-4535 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-02-13 |
Last Update Date | 2023-11-28 |