| NPI | 1043556566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE H THOMSON Lmsw 734-994-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091826) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |