| NPI | 1831344118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY LLOYD CROSS Clinical Social Worker/Operator 810-618-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801083994) |
| Enumeration Date | 2008-11-30 |
| Last Update Date | 2008-11-30 |