| NPI | 1801319728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WILLIAM ALLISON Director 517-256-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012232) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-07-21 |