| NPI | 1437669314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRICE STACHIW Owner 248-770-1849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801071882) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |