NPI | 1053552190 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA LIVINGSTON Clinical Social Worker 248-840-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801017709) |
Enumeration Date | 2009-03-19 |
Last Update Date | 2013-11-14 |