| NPI | 1285935189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAYA SELESNY Clinical Social Worker 248-231-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801078038) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |