| NPI | 1669641148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE M. MCKENNA Clinical Social Worker 517-324-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801064405) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2016-01-04 |