NPI | 1730547589 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA MARIE BAAN EDDY Counselor/Owner 947-517-4012 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014928) |
Enumeration Date | 2016-02-08 |
Last Update Date | 2016-02-08 |