| NPI | 1912379348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY GALLEGOS Manager Billing 517-483-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801093116) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |