| NPI | 1689113227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN ELIZABETH WATERS Owner/Clinician 989-340-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401015574) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2023-11-20 |