| NPI | 1023552841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M MCCCREA Lmsw 734-775-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801058560) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |