| NPI | 1598939274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEE JACKSON Owner/CEO 1800-499-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010688) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2010-05-21 |