| NPI | 1255760955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDRA YVONNE CANNON Owner 517-676-9788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086618) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2014-05-01 |