| NPI | 1225254279 |
|---|---|
| Doing Business As | FUNDERBURG CCS |
| Entity Type | Organization |
| Authorized Contact | GERALD RODERICK FUNDERBURG Owner 248-809-9105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086140) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-09-11 |