| NPI | 1568683761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI SELLERS Site Mangage 248-372-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088483) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2010-11-01 |