| NPI | 1427214899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MARIE BERGFELD Clinical Social Worker 810-630-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801061244) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |