| NPI | 1750822656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DAVIS-POTTER Therapist/ President 906-235-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009715) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |