| NPI | 1336362938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN OSBORNE Clinical Social Worker 734-374-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801066152) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |