| 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 |