| NPI | 1962699165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNET W WOLPER Vice President 734-572-0882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801012879) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |