| NPI | 1407129513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE ANN FLEVARIS Corporate Member 586-994-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801016078) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |