| NPI | 1821351743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA TIFFANY BISHOP President 248-802-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088141) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-07-18 |