| NPI | 1003359126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN RATLIFF-MOSS Owner/Provider 734-905-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801062190) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-22 |