| NPI | 1629525431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE OVERBAUGH Owner 586-382-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801093474) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |