| NPI | 1720795578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHACARA B BURREL Owner/Mental Health Clinician 269-888-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-07-12 |