| NPI | 1245093467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROBERT SCHLOSSER Owner 262-510-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |