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 |