| NPI | 1720853146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BAKER Owner/Therapist 810-300-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-12-13 |