| NPI | 1134361173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LOFFREDO Director 313-515-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801064877) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401010037) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |