| NPI | 1952792954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA K MARVIN Owner 517-526-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401014302) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |