| NPI | 1821516840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LIGGINS Owner 989-401-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801081858) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-12-20 |