NPI | 1366731879 |
---|---|
Doing Business As | NORTHLAND CLINIC |
Entity Type | Organization |
Authorized Contact | LOUIS GOLDMAN Co Director 248-559-8190 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801000531) |
Enumeration Date | 2011-04-05 |
Last Update Date | 2011-04-05 |