| NPI | 1689495665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA KLEIN Licensed Professional Counselor 269-924-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-22 |