| NPI | 1396034922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON L KROPP Billing Manager 734-402-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801083836) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2015-06-30 |