NPI | 1982156980 |
---|---|
Entity Type | Organization |
Authorized Contact | MERIBETH GANDY PEZDA Licensed Clinical Social Worker 734-757-3103 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801070819) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2016-10-26 |