NPI | 1356648679 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY C TEACHOUT Director 248-299-2999 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010522) |
Additional Taxonomies | 251S00000X (Licence: MI 6401010522) |
Enumeration Date | 2011-02-23 |
Last Update Date | 2011-02-23 |