| NPI | 1861876468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNETTE BOURLAKAS-MAURER Owner, Clinical Social Worker 989-513-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085334) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2015-08-11 |