| NPI | 1457803306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LANETTE BAKER CALLEN Sole Member / Authorized Offical 248-702-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801087468) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2024-05-29 |