| NPI | 1437688975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GARNER-LUCAS Director 248-862-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801010825) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |