| NPI | 1861706608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY TINSLEY BURDICK Clinical Social Worker 810-648-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801065333) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |