| NPI | 1215133632 |
|---|---|
| Doing Business As | ST. JOHN OB CLINIC MSSP |
| Entity Type | Organization |
| Authorized Contact | SANDRA E WHITMAN Director 586-226-6823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |