| NPI | 1902595564 |
|---|---|
| Other Name | BRIAN SCOTT |
| Entity Type | Organization |
| Authorized Contact | BRIAN R SCOTT Therapist Owner 269-547-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-05-24 |