| NPI | 1326278144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELLA MONTGOMERY Owner 517-347-7736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801000545) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-10-19 |