| NPI | 1508282336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYN LAWRENCE Owner 586-914-5914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 680190677) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2014-03-18 |