| NPI | 1013375831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A WILSON-LONGLET Owner / Authorized Official 989-266-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801071436) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |