| NPI | 1063807857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M BOLSTER Owner 734-531-9961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011718) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2018-04-30 |