| NPI | 1710397468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACALYN LASICH Owner/Counselor 231-735-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MI 6801089753) |
| Enumeration Date | 2014-05-03 |
| Last Update Date | 2014-05-03 |