| NPI | 1477990174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE B PAGE-WOOD Owner 269-944-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007534) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |