| NPI | 1114292042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN RUTH-COOMBS MCLANE Owner 517-277-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801083840) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |