| NPI | 1295024487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BETH KETOLA President 586-216-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801066233) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |