| NPI | 1902398233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY B FROST Owner 989-506-9025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401008490) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |