| NPI | 1619334497 |
|---|---|
| Doing Business As | CHRISTIAN FAMILY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MYLES TONNACLIFF Provider Service Director 262-345-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007044) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |