| NPI | 1922398635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN HORN Provider 734-741-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801016273) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2014-07-14 |