| NPI | 1437611407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PATTERSON Administrator 248-327-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |