| NPI | 1891239216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM KATKE Owner 989-930-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401012426) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2024-10-09 |