| NPI | 1861515959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY STEVENS Billing Coordinator 248-327-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 630070) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2017-11-14 |