| 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 |