| NPI | 1245949890 |
|---|---|
| Other Name | KATHY WADE |
| Entity Type | Organization |
| Authorized Contact | JENNIFER HECKENDORN Biller 734-274-0536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-10-03 |