| NPI | 1699254433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LEE Owner 517-525-3836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090410) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |