| NPI | 1679098800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SUSANN WARREN Executive Director 269-359-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013627) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-07-21 |