| NPI | 1225333032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISSA DRIKER Member 248-376-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801067068) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |