| NPI | 1104789262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GODIN Licensed Clinical Social Worker 734-355-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |