| NPI | 1780824847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRYE L CARR-AGUIRRE Owner 810-245-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801019053) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |