NPI | 1609381631 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL R BOOTHROYD Sole Mbr 989-832-0191 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013357) |
Enumeration Date | 2017-12-13 |
Last Update Date | 2023-12-28 |