| NPI | 1114258282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CARDAMONE Clinical Therapist 586-466-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801057662) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-12-01 |