NPI | 1528342516 |
---|---|
Entity Type | Organization |
Authorized Contact | DORORTHY E TETREAULT Owner 517-787-8170 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801081579) |
Enumeration Date | 2011-10-08 |
Last Update Date | 2014-07-23 |