| NPI | 1245757251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN LANASKY Sole Member 734-377-2035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801034752) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-10-04 |