NPI | 1689732414 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY RATOWSKI Director Of Provider Affairs 248-703-2003 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 830190) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2024-03-14 |