| NPI | 1487419479 |
|---|---|
| Other Name | ALYSSIA CARMONA |
| Entity Type | Organization |
| Authorized Contact | BETHANY LOCKE Manager/Biller 810-835-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |