| NPI | 1114468535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SANGSTER-LUCAS Clinical Social Worker 248-880-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009728) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |