| NPI | 1396558607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA COLES Authorized Official/Sole Member 231-649-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |