NPI | 1770379513 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LAUCKNER THOMAS Licensed Mental Health Counselor 989-780-4079 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2025-04-17 |
Last Update Date | 2025-04-17 |