| NPI | 1811265861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT KING Co Owner 734-439-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801066963) |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |