| NPI | 1972824480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LOUISE KOLLHOFF General Manager 231-775-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007670) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2013-09-13 |