| NPI | 1952038838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE KENNEY Therapist 269-240-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-12-31 |