| NPI | 1326117060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE E RAAB Owner 586-779-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801016393) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |