| NPI | 1467842781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY SMITH Therapist 586-215-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801087956) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-12-29 |