| 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 |