| NPI | 1649765298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEA ANNE HOWELL Owner, Provider 269-254-6613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-08-21 |