| 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 |