| NPI | 1720362841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN LONGLEY Owner/Therapist 269-687-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |