NPI | 1053578179 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY L WIDENBAUM Clinical Therapist 248-568-9680 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801066237) |
Enumeration Date | 2008-05-16 |
Last Update Date | 2013-08-26 |