| NPI | 1831617281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN NABORS Executive Director 269-359-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401014495) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |