| NPI | 1366794539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL LESURE Owner 248-556-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801013136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 680185639) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801092126) | |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |