| NPI | 1679454243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KAEKEL Clinical Director 989-737-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |