| NPI | 1760110092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HETAHER ALLBEE Business Owner 269-290-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2023-06-06 |