NPI | 1689383309 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXIS KAY MILLER Owner/Clinician 269-319-9417 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2022-11-21 |