| NPI | 1073448072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JACKSON Licensed Master Social Worker 313-217-5263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-06-13 |
| Last Update Date | 2026-06-13 |