| NPI | 1649609488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYELL NEZICH Clinical Social Worker 586-665-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801065236) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2014-02-20 |