| NPI | 1386837078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE M WIXSON President 586-994-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801077273) |
| Enumeration Date | 2007-08-25 |
| Last Update Date | 2007-08-25 |