| NPI | 1174252811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE FELLER Owner 269-365-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-12-28 |