| NPI | 1528356474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE R GORDON Owner 517-281-5718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801034871) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2012-06-25 |