| NPI | 1679629992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN KONAL Member 586-772-3523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI B2110Y) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-08-22 |