| NPI | 1407396286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE SUE THOMAS Managing Member 269-447-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012521) |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-09-20 |