| NPI | 1184411589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAILEY LASCESKI Licensed Master Social Worker 989-553-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-05-01 |