| NPI | 1154861367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN DENISE SANDERS Clinical Social Worker/ Proprietor 248-796-1217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MI 6801059552) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |