| NPI | 1023152568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL VICTORIA HARRINGTON Clinical Social Worker 248-349-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801011654) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2020-08-22 |