| NPI | 1790920619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER M BURNETT Therapist 269-998-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009350) |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |