| NPI | 1760615975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD R NOEL Associate Director Of Finance 517-552-7169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801046966) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |