| NPI | 1538921663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA A JOHNSON Licensed Master Social Worker 810-772-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2025-03-19 |