| NPI | 1306394564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLENE WILHELM BLEVINS Owner 231-486-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009566) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2025-08-19 |