| NPI | 1104244953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINTON T. MATTHEWS Social Worker 313-220-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801091820) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2014-03-30 |