NPI | 1982084349 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENNA LEIGH EDWARDS Business Manager 231-638-5316 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2015-06-01 |
Last Update Date | 2023-06-05 |