| NPI | 1487018289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVELYN E MARSHALL Owner 517-347-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801016708) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |