| NPI | 1114273109 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAURIE EPSTEIN KACH Clinical Social Worker 248-508-1411 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801067309) | 
| Enumeration Date | 2012-07-27 | 
| Last Update Date | 2012-07-28 |