| NPI | 1619291069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA PESSERL Manager 248-910-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010147) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2016-03-29 |