| NPI | 1053808519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JOSEPH Lmsw 989-793-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801072251) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-09-05 |