| NPI | 1093831364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CHERITT Clinical Social Worker 810-664-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801014449) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |