| NPI | 1639437718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY JON BRIGHAM Manager 269-569-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401005766) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |