| NPI | 1043671340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE J MASTERS Owner/Manager 269-965-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014402) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2024-02-14 |