| NPI | 1144410549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE NILSSON Licensed Master Social Worker 248-905-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801035749) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |