| NPI | 1659720548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LEBO Owner 517-483-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090226) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |