| NPI | 1972933026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE THERESE SANDERSON Director 734-358-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801091876) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |