| 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 |