| NPI | 1104391663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVHONJA MARIE TAYLOR Clinical Social Worker 248-729-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |