| NPI | 1588920409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAJUAN S. GIBSON President/CEO 810-210-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088926) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2013-09-19 |