NPI | 1144387507 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA LYNNE BYRD Chief Executive Officer 248-395-3942 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801088359) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |