| NPI | 1992183735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP RAYMOND BARKER Sole Proprietor 517-488-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X (Licence: MI 6801059321) |
| 252Y00000X Early Intervention Provider Agency (Licence: MI 6801059321) | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2024-01-12 |