| NPI | 1457787640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE FORD Clinical Therapist 810-835-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087394) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |