NPI | 1356738926 |
---|---|
Entity Type | Organization |
Authorized Contact | TWANNIE L GRAY Director 989-401-5562 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014787) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2015-04-22 |