| NPI | 1881932275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI JO GLEW Owner 517-290-5648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801085158) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |