| NPI | 1295261816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE TENCATE-COLE Lmsw 6166-633-8574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095929) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |