| NPI | 1699131813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BOSS Licensed Professional Counselor 231-675-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6401003896) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2022-11-29 |