| NPI | 1912261371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A NOVELLO Owner 517-749-4074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801069830) |
| Enumeration Date | 2012-06-30 |
| Last Update Date | 2012-06-30 |