| NPI | 1720521958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ELLEN GORDON-MICHAELI Clinical Social Worker 248-225-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801095173) |
| Enumeration Date | 2016-11-20 |
| Last Update Date | 2016-11-20 |