| NPI | 1083855571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA DEFRANCIS WALDEN Owner 313-331-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801061371) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |