| NPI | 1356514319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE C CASSAR Social Worker 269-926-6199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801016920) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4101005789) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |