| NPI | 1225373475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SAMIR CHEBLI Clinical Social Worker 517-708-8215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085790) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2012-11-28 |