| NPI | 1134576275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANN STEPHENS Owner 517-394-5332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013677) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2017-04-23 |