| NPI | 1184956799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VINCENT WEBB Clinical Social Worker 810-732-9451 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801018407) |
| Enumeration Date | 2010-02-06 |
| Last Update Date | 2010-02-06 |