NPI | 1275087751 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL MICHAEL SULLIVAN Owner/Therapist 231-225-9030 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009216) |
Enumeration Date | 2016-08-12 |
Last Update Date | 2016-08-12 |