| NPI | 1083345458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA LOWE President 269-414-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |