| NPI | 1679830681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERD EUGENE RETT Clinical Social Worker 810-230-8459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 1041C0700X) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-07-06 |