| NPI | 1821312596 | 
|---|---|
| Former Legal Business Name | ROBERT B. RAETZ MA, LPC | 
| Entity Type | Organization | 
| Authorized Contact | ROBERT BURKE RAETZ Owner 231-645-8500  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401005810)  | 
| Enumeration Date | 2010-03-24 | 
| Last Update Date | 2010-03-24 |