| NPI | 1093136376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA POFF Social Worker 517-896-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801091453) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |