| NPI | 1740068048 |
|---|---|
| Other Name | PERSONAL GROWTH THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHELLY WIEWIORA Mental Health Counselor 231-286-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-01-04 |