| NPI | 1952803868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA IACOBONI Owner 586-596-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801092970) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |