| NPI | 1740598879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L BLOHM Clinical Social Worker 517-242-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801061672) |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2014-03-13 |