| NPI | 1700138526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE WALCOTT Sole Member 989-506-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801090306) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |