| NPI | 1184160251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET KASMENN Lmsw 734-627-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097557) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2022-07-20 |