| NPI | 1710879770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HANNIBAL Owner And Executive Director 231-330-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |