| NPI | 1487410460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE PISH Authorized Official / Sole Member 517-617-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-05-28 |