| NPI | 1174951693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARIE JOHNSON Therapist 586-718-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801032874) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2023-11-09 |