| NPI | 1043539604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS MICHALICA Sole Proprietor / Owner 940-484-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2023-10-16 |