| NPI | 1952770893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNELL ANTHONY GEMUS Owner 734-344-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801068256) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2024-03-01 |