| NPI | 1861188807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY BENJAMIN Owner/Therapist 269-929-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-21 |