| NPI | 1659267268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO PATRICIA WITTENBACH Licensed Professional Counselor 906-221-2839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |