| NPI | 1982614889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA LYNNE KOSCHTIAL HOWE Owner 586-991-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MI 5501006539) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-01-05 |