| NPI | 1154801322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER K SHEA Owner 313-652-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801097641) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2023-10-23 |