| NPI | 1528337706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MAE BUSH Owner 734-807-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401009357) |
| Enumeration Date | 2011-12-18 |
| Last Update Date | 2023-02-27 |