| NPI | 1003273327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHON NOVELLO Owner 517-290-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801072600) |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2016-01-16 |