| NPI | 1740773381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA E GERECKE Owner/Provider 248-599-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013173) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2024-02-23 |