| NPI | 1174905061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ELIZABETH MALONEY Clinical Social Worker 810-938-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2023-12-07 |