| NPI | 1518325034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A LOGAN Owner 517-960-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008140) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |