| NPI | 1528402278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY G SMITH Clinical Social Worker/Therapist 734-646-3581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088994) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2013-04-24 |