| NPI | 1427393750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD K. PHILLIPS Owner 269-277-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |