| NPI | 1063821650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE A PATERSON Owner 810-689-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801059994) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |