| NPI | 1467817577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN ANDERSON Licensed Professional Counselor 269-929-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: MI 6401005035) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |