| NPI | 1144762121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LYNN MERCIER Office Manager/Clinical Therapist 313-725-1847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2021-05-02 |