| NPI | 1982967501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE (TED) BRAUDE Director 586-825-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801033300) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |