| NPI | 1689117418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BUYSSE Counselor 269-599-0849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |