| NPI | 1366619389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE BEACHEM CEO 586-945-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088409) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2012-04-16 |