NPI | 1407107154 |
---|---|
Doing Business As | FTRA |
Entity Type | Organization |
Authorized Contact | DENNIS JOSEPH MUZZI Resident Agent 248-760-2672 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801017027) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2016-10-21 |