| NPI | 1487020582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONA MICKLES-BURNS Owner 248-388-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801046764) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-09-28 |