| NPI | 1215283601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L TOBIN Owner, Clinical Social Worker 248-762-1247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801090375) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |