| NPI | 1902204787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L BUCCIERE Owner 248-880-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801018346) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |