| NPI | 1528208873 |
|---|---|
| Other Name | GPS INDIANA LMSW GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT A CLEMENTE Manager 586-620-8100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2010-10-14 |