| NPI | 1639309784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUANNE ZAGER Clinical Social Worker 248-593-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MI 6801046776) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |