| NPI | 1992287684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI HALE Owner/Authorized Official 734-474-7655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801070913) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-10-18 |