| NPI | 1275977134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN RIEVERT Lmsw 734-756-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801060239) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |