| NPI | 1952611782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MARY GREGORY Clinical Social Worker 248-568-1344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801033761) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |