| NPI | 1780042259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY GALLEGOS Manager Billing 517-483-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801084709) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |