| NPI | 1699060798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE REDMOND Director 248-354-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801033134) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-07-21 |