| NPI | 1942703483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ALISSA PICKETT Owner 269-397-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013661) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |