| NPI | 1255698833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE LYN MASTAW-BENOIT President 734-507-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801085740) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |