| NPI | 1952656985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J HEALEY Lmsw 810-240-0143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801080309) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |