| NPI | 1548617459 |
|---|---|
| Other Name | WATER WAIVER |
| Entity Type | Organization |
| Authorized Contact | JEAN TROOP Reimbursement Officer 810-496-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-02-15 |