| NPI | 1215399290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WHITEHEAD Clinical Social Worker 517-347-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801064670) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2021-07-15 |