NPI | 1316356272 |
---|---|
Entity Type | Organization |
Authorized Contact | DAISY BELLE ELLINGTON DUPAS President 313-492-3165 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401001266) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2014-08-05 |