| NPI | 1003308032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY BLACKMER Owner 517-526-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-11-02 |